Organization
ADULT HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMBERTO RODRIGUEZ (COO)
(702) 510-4508
Entity
Organization
Contact information
Practice address
2881 BUSINESS PARK CT STE 100, LAS VEGAS, NV 89128-9019
(702) 510-4508
(702) 724-0522
Mailing address
2881 BUSINESS PARK CT STE 100, LAS VEGAS, NV 89128-9019
(702) 510-4508
(702) 724-0522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
07/21/2021
Last updated
10/08/2024
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